Prevalence, risk factors, and prevention of occupational contact dermatitis among professional cleaners: a systematic review

Sedeh, Farnam Barati; Michaelsdóttir, Thórunn Elísabet; Jemec, Gregor B E; Mortensen, Ole Steen; Ibler, Kristina Sophie

doi:10.1007/s00420-022-01937-6

Cited by 5 publications

(9 citation statements)

References 72 publications

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“…18 The most common allergies in cleaners are caused by rubber, biocides, nickel/cobalt and perfumes. 5,[19][20][21][22] Consequences associated with HE in professional cleaners include significant impairment in quality of life, unscheduled absence from work, sick leave and disability. [5][6]11,[23][24][25][26][27] Even though wet work is a well-known risk factor for HE in cleaners, it may be possible that other occupational and personal factors also play a role in the development of HE.…”

Section: Introductionmentioning

confidence: 99%

“…Cleaning products are used extensively in hospitals and may contain preservatives, solvents, fragrances, and other compounds, which may cause irritation or sensitisation 18 . The most common allergies in cleaners are caused by rubber, biocides, nickel/cobalt and perfumes 5,19–22 . Consequences associated with HE in professional cleaners include significant impairment in quality of life, unscheduled absence from work, sick leave and disability 5–6,11,23–27 …”

Section: Introductionmentioning

confidence: 99%

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Prevalence and risk factors for hand eczema among professional hospital cleaners in Denmark: A cross‐sectional questionnaire‐based study

et al. 2023

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BackgroundProfessional cleaners are commonly affected by hand eczema (HE) due to wet work and exposure to cleaning products in the work environment.ObjectiveTo investigate (1) the prevalence of HE in a group of professional hospital cleaners, (2) the association of HE with various comorbidities and self‐reported signs/symptoms of skin lesions and (3) the association of HE with various occupational and personal risk factors in the same population.MethodsA cross‐sectional questionnaire‐based study including all cleaners working in three hospitals in Denmark. The questionnaire was composed of 35 questions. Prevalence is reported using proportions with 95% confidence intervals and compared using difference of proportions and Fisher's exact test.ResultsA total of 122 out of 180 cleaners (response rate = 68%) participated in this study. The self‐reported lifetime prevalence of HE among the cleaners was 30.3%, while the 1‐year prevalence was 18.9%. HE was significantly associated with a history of atopic diseases. There was a significant correlation between having HE, and self‐reported redness and itch of the hands in the last 12 months, as well as the use of hydrochloric acid ≥4 days/week during the last 12 months. Logistic regression analysis found HE significantly associated with washing hands ≥20 times during a working day and a history of atopic dermatitis.ConclusionCleaners are at an elevated risk of developing HE. More focus on education/information regarding the prevention and treatment of HE is necessary for the cleaning profession. Self‐reported redness and itching of the hands may be a useful prediction of HE in cleaners.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence and risk factors for hand eczema among professional hospital cleaners in Denmark: A cross‐sectional questionnaire‐based study

et al. 2023

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“…The latter group is frequently exposed to wet work and irritants/allergens contained in disinfectants and detergents. Although cleaners often use protective gloves, these also hold the potential for skin irritation if not used correctly 3–5 . The 1‐year prevalence of OHE among cleaners is between 8% and 28%, while the lifetime prevalence is reported to be around 22% 3,6–8 .…”

Section: Introductionmentioning

confidence: 99%

“…[3][4][5] The 1-year prevalence of OHE among cleaners is between 8% and 28%, while the lifetime prevalence is reported to be around 22%. 3,[6][7][8] Consequences associated with OHE include unscheduled absences from work, decreased quality of life and income, and limited career options. 3,5,[9][10][11][12][13] Patients with HE in Denmark are usually informed about the disease by a physician and provided with a written leaflet containing recommendations regarding how to protect the skin.…”

mentioning

confidence: 99%

“…3,[6][7][8] Consequences associated with OHE include unscheduled absences from work, decreased quality of life and income, and limited career options. 3,5,[9][10][11][12][13] Patients with HE in Denmark are usually informed about the disease by a physician and provided with a written leaflet containing recommendations regarding how to protect the skin. 14,15 This procedure is more or less standard, regardless of the patient's profession.…”

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confidence: 99%

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Design and validation of pictograms and educational video clips to improve the knowledge of skin care and protection: Comprehension and recall among professional hospital cleaners

Sedeh,

Michaelsdóttir,

Mortensen

et al. 2023

Contact Dermatitis

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IntroductionInsufficient knowledge about protection and care of the skin among Danish hospital cleaners, particularly immigrant cleaners, is guessed to be a widespread issue that can increase the likelihood of them developing occupational hand eczema (OHE). This study aimed to design and validate 10 pictograms and 10 short video clips showing recommendations for skin care that would help prevent OHE among professional cleaners.MethodsTen pictograms and 10 short, educational video clips, based on standard, recommended information were developed in collaboration with a medical illustrator and a video director. The materials were validated in a two‐step process that included bus drivers (primary validation) and professional cleaners (secondary validation).ResultsDuring the primary validation, 5 of the 10 pictograms (50%) were comprehended correctly by at least 85%. Those that were misinterpreted, were modified and retested several times until they were understood correctly by at least 85%. During the secondary validation, all 10 pictograms achieved acceptable levels of comprehension among professional cleaners. All the video clips were comprehended correctly by both bus drivers and cleaners.ConclusionTen easy‐to‐understand pictograms and 10 educational video clips for cleaners about the prevention of OHE have been designed and validated.

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New causes of occupational allergic contact dermatitis

Clynick,

Holness

2023

Current Opinion in Allergy &Amp; Clinical Immunology

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Purpose of review Occupational allergic contact dermatitis (OACD) is an important work-related skin disease. Information about the causative agents comes from many sources, including patch test databases, registries, case series and case reports. This review summarizes new information about common causative allergens and diagnosis. Recent findings Common causes of OACD include rubber components, epoxies and preservatives. New exposure sources for these allergens continue to be described. Often these exposure sources are related to the changing world around us, such as allergens related to smartphones and technology, and personal protective equipment-related exposures during the COVID-19 pandemic. New allergens are also being described, some of which are related to known allergens (e.g. a new epoxy or acrylate component). Accurate diagnosis is critical to effective management of OACD, which may include removing the worker from exposure to the causative allergen. Safety data sheets may not contain complete information and patch testing with specialized series of allergens and workplace materials may be necessary. Summary This review provides current evidence about causes of OACD and important aspects of diagnosis. This is important for clinical practice to ensure cases of OACD are not missed.

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Prevalence, risk factors, and prevention of occupational contact dermatitis among professional cleaners: a systematic review

Cited by 5 publications

References 72 publications

Prevalence and risk factors for hand eczema among professional hospital cleaners in Denmark: A cross‐sectional questionnaire‐based study

Prevalence and risk factors for hand eczema among professional hospital cleaners in Denmark: A cross‐sectional questionnaire‐based study

Design and validation of pictograms and educational video clips to improve the knowledge of skin care and protection: Comprehension and recall among professional hospital cleaners

New causes of occupational allergic contact dermatitis

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